Patient Accounts - Assistant Manager Billing Office

Patient Accounts - Assistant Manager Central Billing Office - 40hrs

Hartford, CT, United States (Hybrid)

Connecticut Children’s is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children’s offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home.

Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members.

At Connecticut Children’s, treating children isn’t just our job – it’s our passion. As a leading children’s health system experiencing steady growth, we’re excited to expand our team with exceptional team members who share our vision of transforming children’s health and well-being as one team.

The Assistant Management position in the Business Office is responsible for the oversight and management of facility and professional claim billing as it pertains to physician credentialing, claim submission, denial resolution, claim payment application and daily cash reconciliation. Assists with the hiring, training and evaluating of staff. Responds to both internal and external variables to promote and sustain a steady cash stream for our organization.

Participates in the development of and oversees the implementation of operating policies and procedures to monitor and improve efficiency of operations. This position works in direct collaboration with the needs of the revenue cycle departments, including Patient Access, Health Information Management, Managed Care, Revenue Integrity and Utilization Review. Maintains confidentiality of both financial and patient related information and ensures privacy standards are upheld.

Reports directly to the Senior Manager of the Business Office.

• Proactively identifies areas of opportunity for improvement and effectively communicates to manager.
• Remains current with core knowledge of specific payer policies, contracts, and administrative bulletins.
• Creates and prepares all necessary documentation related to the staff education and training.
• Monitors productivity and conducts quality reviews on staff performance.
• Hire, train, coach, and mentor direct reports.
• Supports department and senior staff with project work and office management tasks.
• Communicates with IT department and outside vendors when necessary to assure functionality of systems and system interfaces.
• Develops and documents system procedures and workflows.
• Ensures that all billing practices adhere to Federal and State regulations.
• Ability to use independent judgment to manage and implement both short and long term goals.
• Manages and coordinates the day to day activities of the department and operations.
• Other duties to support department operations as assigned by manager.
• Demonstrates knowledge of the population-specific differences and needs of patients in appropriate, specific populations from neonate through adolescence and applies them to practice.
• Demonstrates cultural sensitivity in all interactions with patients/ families and co-workers.
• Demonstrates support for the mission, values, and goals of the organization through behaviors that are consistent with Connecticut Children’s Medical Center core behaviors.

Supervisory Responsibilities:

• Plans the daily work and determines the techniques used to complete the work for 3-9 per team (or total 36) full-time equivalent Customer Service…